Winslow Facial Plastic Surgery - Carmel

A: Hello! The width of the nostrils will always increase with smiling due to the fact that the cheeks move laterally with a smile and the nostrils are attached to the cheek. Your photos are taken from different angles but if you are unhappy with the drop of the tip with smiling or nostril flare while breathing or at rest rhinoplasty will help. Botox is not typically administered to reduce the width of the smile as it would make your facial movements seem unnatural. Your smile is quite wide and one would naturally expect your nostrils to move laterally with your facial movement. I hope this helps, stay safe!

A: Hello! The risks you are referring to involve the particles of filler occluding or shutting down vessels. This can result in skin death, scarring and blindness. While rare, the glabella is one of the areas most commonly associated with this risk and many injectors are understandably reluctant to inject there without full consent on the part of the patient to accept the risks. Cannulas may decrease the risk but will not entirely eliminate it, as skin death has been reported in cases where cannulas were used. In general most physicians prefer neurotoxins to this area as it prevents not only the wrinkle but the mounding of thick muscle. Good luck!